Poor use of cardiac rehabilitation among older adults: A self-regulatory model for tailored interventions

Carrie N. Keib, Nancy R. Reynolds, Karen L. Ahijevych

Research output: Contribution to journalReview articlepeer-review

Abstract

Background A greater number of older adults now live with coronary heart disease (CHD). This poses a significant public health problem, because older adults are at high risk for CHD-related mortality and morbidity. Overwhelming data support the benefits of cardiac rehabilitation for secondary prevention, yet only a small portion of eligible older adults receive it. Methods and Results Whereas many studies examined factors that affect the use of cardiac rehabilitation among older adults, few interventions aimed to improve their cardiac rehabilitation participation rates. A substantial body of evidence indicates that an individual's illness perceptions play a pivotal role in health behavior, and may be a promising target for intervention. Drawing from the theoretic and empiric findings of others, a self-regulatory model is proposed that explicates how CHD perceptions of older adults may influence participation in cardiac rehabilitation. Conclusion The model may provide a useful guide for the development of effective interventions tailored to older adults.

Original languageEnglish (US)
Pages (from-to)504-511
Number of pages8
JournalHeart and Lung: Journal of Acute and Critical Care
Volume39
Issue number6
DOIs
StatePublished - Dec 1 2010

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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